Individual
BEVERLY MICHELLE PRESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2852C HIGHWAY 62 412, HIGHLAND, AR 72542-9201
(870) 710-3008
Mailing address
2852C HIGHWAY 62 412, HIGHLAND, AR 72542-9201
(870) 710-3008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1510117
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192145795
—
AR
Enumeration date
06/15/2012
Last updated
09/01/2020
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